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Instructions for completing the Workers' Compensation Employer's Quarterly Report


Formulario
F212-239-000
 
Report of Accident - Injured Worker Instructions - Spanish


Formulario
F242-134-999
 
Affidavit of Wages Paid - Public Works Contract and Instructions


Formulario
F700-007-000
 
Prevailing Wage Complaint and Instructions


Formulario
F700-146-000

Otro(s) idioma(s):
Español
 
Quarterly Statement of Supplemental Benefits Paid for Self-Insured Employers


Formulario
F207-011-000
 
Provider's Initial Report (PIR)


Formulario
F207-028-000
 
Workers' Compensation Filing Information


Formulario
F207-155-000

Otro(s) idioma(s):
Español
 
Workers' Compensation Employer's Quarterly Report


Formulario
F212-055-000
 
Temporary Services Guide to Workers' Compensation Insurance


Manual
F213-019-000
 
International Travel for Work


Publicación
F242-419-000
 
Provider Account Application - Independent Medical Examiner (IME)


Formulario
F245-046-000
 
Functional Recovery Interventions Tracking Sheet


Publicación
F245-420-000
 
CMS 1500 Billing Manual


Manual
F245-423-000
 
Home Health Services Billing Manual


Manual
F245-424-000
 
Hospital Services Billing Manual


Manual
F245-425-000
 
Pharmacy Billing Manual


Manual
F245-433-000
 
Asbestos Abatement Project Notice of Intent and L&I DOSH Asbestos Program


Formulario
F413-025-000
 
Application for Specialty Electrician Certificate


Formulario
F500-098-000
 
Class B Labels: What You Should Know


Publicación
F500-112-000
 
Application for Insignia Conversion Vendor/Medical Units


Formulario
F623-021-000
 
Filing Suit Against an Electrical Contractor


Formulario
F625-053-000
 
Application for Electrician Examination


Formulario
F626-001-000
 
Certified Project Payroll


Formulario
F700-065-000
 
Crime Victims Direct Entry Billing Manual


Manual
F800-118-000
 
Annual Supplemental Surety Information


Formulario
F207-125-000
 
General Provider Billing Manual


Manual
F248-100-000
 
Self-Insurance Electronic Data Reporting System (SIEDRS): Enrollment Package 2.0


Publicación
F207-194-000
 





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